Perfil geral de mobilização precoce realizado por fisioterapeutas brasileiros em Unidades de Terapia Intensiva

Abstract

The concept of dose is related to the quantification of individuals' exposure to exercise and should be incorporated into early mobilization (PM), an interprofessional physical intervention strategy that seeks to recover the critical patient's functionality. The objectives were traced to the general profile of early mobilization performed by Brazilian physiotherapists in intensive care units (ICU) in mechanically ventilated patients characterizing the starting time, frequency, volume, type/modality, duration, rest, intensity and progression. A cross-sectional descriptive observational study via electronic form was carried out from July 2021 to October 2021. Descriptive statistics were used, by means of absolute and relative frequencies. A total of 32 individuals were included, majority female, in the age range of 23-27 years, mainly residing in Ceará, with ≤ 5 years of education, postgraduates but without specialist, master's and doctoral degrees. The starting time for PM is < 24 hours of ICU admission, activities being performed 2 times a day, every day, with a total duration of 30 minutes, with bed/bed exercises, mainly active/active-assisted. The main PM activities performed include positioning, muscle strengthening, sedestation, bipedestation, trunk control, gait, transfers and active/active-assisted cycloergometer. There are still gaps regarding the ideal dose for prescribing early mobilization and exercises in critically ill patients. The authors suggest the use of the Consolidated Standards of Reporting Trials and the Consensus on Exercise Reporting Template for detailed description of early mobilization in future clinical trials.